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Be.Wise School Registration 22-23
Please verify reCaptcha before submitting the form.
Parent Information
*
Parent #1 First Name
*
Parent #1 Last Name
*
Parent #1 Email
Parent #1 Cell Phone
Parent #2 First Name
Parent #2 Last Name
Parent #2 Email
Parent # 2 Cell Phone
*
Home Address for Student(s)
*
City, State, Zip
Do Both Parents Live at the Same Address?
Yes
No
If Not, What is the Second Address
*
May we take & use your child(ren)'s photo?
Please Select One
Yes
No
Student Information
*
Student #1 First Name
*
Student #1 Last Name
Student #1 Gender
Female
Male
Non-Binary
*
Student #1 Date of Birth
Student #1 Hebrew Name
*
Student #1 Grade as of September 2022
*
Student #1 Public/Day School
Student #1 has an IEP
Yes
No
Student #1 Allergies or Medical Concerns
If no more children skip to School Information
Student #2 First Name
Student #2 Last Name
Student #2 Gender
Female
Male
Non-Binary
Student #2 Date of Birth
Student #2 Hebrew Name
Student #2 Grade as of September 2022
Student #2 Public/Day School
Student #2 has an IEP
Yes
No
Student #2 Allergies or Medical Concerns
If no more children skip to School Information
Student #3 First Name
Student #3 Last name
Student #3 Gender
Female
Male
Non-Binary
Student #3 Date of Birth
Student #3 Hebrew Name
Student #3 Grade as of September 2022
Student #3 Public/Day School
Student #3 has an IEP
Yes
No
Student #3 Allergies or Medical Concerns
School Information
Course and Interests
Courses and Interests for Student #1
Torah & Values
T’fillah (Prayer) & Rituals
Jewish Heritage, History, Israel, & Identity
Shabbat & Holidays
Hebrew
7/8th Grade Core
Bnei Mitzvah
STEM
Culinary Judaism
Tikkun Olam (Social Justice)
Jews in Motion
Jews in the News
Music
Yisrael HaYom
Visual Arts
Jewish Environments
Performing Arts
What Courses is this student interested in for the school year? Select as many as you would like.
Courses and Interests for Student #2
Torah & Values
T’fillah (Prayer) & Rituals
Jewish Heritage, History, Israel, & Identity
Shabbat & Holidays
Hebrew
7/8th Grade Core
Bnei Mitzvah
STEM
Culinary Judaism
Tikkun Olam (Social Justice)
Jews in Motion
Jews in the News
Music
Yisrael HaYom
Visual Arts
Jewish Environments
Performing Arts
What Courses is this student interested in for the school year? Select as many as you would like.
Courses and Interests for Student #3
Torah & Values
T’fillah (Prayer) & Rituals
Jewish Heritage, History, Israel, & Identity
Shabbat & Holidays
Hebrew
7/8th Grade Core
Bnei Mitzvah
STEM
Culinary Judaism
Tikkun Olam (Social Justice)
Jews in Motion
Jews in the News
Music
Yisrael HaYom
Visual Arts
Jewish Environments
Performing Arts
What Courses is this student interested in for the school year? Select as many as you would like.
Availability by Minimester: Select all times that will work well.
Fall (September 10-December 16)
Sunday Morning
Monday after school
Tuesday after school
Wednesday after school
Thursday after school
Saturday Morning
Winter (January 8-March 31)
Sunday Morning
Monday after school
Tuesday after school
Wednesday after school
Thursday after school
Saturday Morning
Spring (April 16th - June 11th)
Sunday Morning
Monday after school
Tuesday after school
Wednesday after school
Thursday after school
Saturday Morning
Deposit
0
1
$75.00
Thu, April 18 2024 10 Nisan 5784